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HomeIowaAccura Healthcare of Cresco

Accura Healthcare of Cresco

701 Vernon Road SW, Cresco, IA 521365635473580WebsiteGoogle Maps
3.4on Google(5 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
1/5
Beds
46
certified

How Accura Healthcare of Cresco Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
1/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.91 hrs/day
IA average
3.81 hrs/day
Close to state average
RN hours per resident
0.69 hrs/day
IA average
0.74 hrs/day
Close to state average
Staff turnover
80.6%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Staff turnover is 80.6%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
35
deficiency citations
Inspected Jan 9, 2025
Most recent cycle
19
deficiency citations
Inspected Jan 29, 2026
The most recent cycle recorded 16 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Howard County 65+
1,934
20.4% of county
County Population
9,479
Howard County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Accura Healthcare of Cresco is a 1-star Medicare and Medicaid certified nursing home in Cresco, Iowa with 46 certified beds. It has been operating since 2003. Its overall CMS rating is 1 out of 5.

Beds
46
Avg Residents/Day
24.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 1, 2003
Sprinklers
Yes
Council
Resident
County
Howard
Last Inspection
Jan 29, 2026
Deficiencies (Cycle 1)
19
Weighted Score
134.0
Infection Citations
0

Deficiency Citations (57)

F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 14, 2025Corrected: NoCycle: 2
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: May 14, 2025Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 14, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 14, 2025Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 14, 2025Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 14, 2025Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jan 9, 2025Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Jan 9, 2025Corrected: NoCycle: 2

+ 27 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.31 hrs
National avg: 2.32 hrs
LPN0.91 hrs
National avg: 0.86 hrs
RN0.69 hrs
National avg: 0.69 hrs
Total Nursing3.91 hrs
National avg: 3.86 hrs
Weekend Total3.08 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
80.6%
RN Turnover
87.5%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
ACCURA MIDWEST HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2017
LENEAVE, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2017
TOTI, LISAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2020
LENEAVE, TEDCORPORATE DIRECTORIndividualN/ANov 1, 2017
LENEAVE, THOMASCORPORATE DIRECTORIndividualN/ANov 1, 2017
TOTI, LISACORPORATE DIRECTORIndividualN/AJan 1, 2020
LENEAVE, TEDCORPORATE OFFICERIndividualN/ANov 1, 2017
LENEAVE, THOMASCORPORATE OFFICERIndividualN/ANov 1, 2017
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2017

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Accura Healthcare of Cresco and nearby alternatives.

All Iowa facilities
Accura Healthcare of Cresco
Cresco, IACurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: None
Evans Senior Living Community
Cresco, IA1.3 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
The Highlands
Decorah, IA17.1 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $93,839
Colonial Manor of Elma
Elma, IA18.3 miAbuse flag
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $44,768
Wellington Place
Decorah, IA19.7 mi
CMS
3/5
Health
4/5
Staffing
4/5
Recorded fines: $29,689
Riceville Family Care and Therapy Center
Riceville, IA21.6 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
New Hampton Nursing & Rehab Center
New Hampton, IA23.3 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Accura Healthcare of Cresco
Cresco, IA · Current facility
—1/51/51/5None recorded
Evans Senior Living Community
Cresco, IA
1.3 mi5/55/55/5None recorded
The Highlands
Decorah, IA
17.1 mi2/52/54/5$93,839
Colonial Manor of Elma
Elma, IA
18.3 mi2/52/53/5$44,768
Wellington Place
Decorah, IA
19.7 mi3/54/54/5$29,689
Riceville Family Care and Therapy Center
Riceville, IA
21.6 mi5/54/54/5None recorded
New Hampton Nursing & Rehab Center
New Hampton, IA
23.3 mi4/54/54/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Accura Healthcare of Cresco?▾
Accura Healthcare of Cresco has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Accura Healthcare of Cresco cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Accura Healthcare of Cresco participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Accura Healthcare of Cresco had any health inspection violations?▾
Accura Healthcare of Cresco had 19 deficiency citations in its most recent health inspection (Jan 29, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Accura Healthcare of Cresco?▾
Accura Healthcare of Cresco provides 3.91 total nursing staff hours per resident per day, including 0.69 RN hours, 0.91 LPN hours, and 2.31 nurse aide hours. The total staff turnover rate is 80.6%.
How many beds does Accura Healthcare of Cresco have?▾
Accura Healthcare of Cresco has 46 certified beds with an average of 24.5 residents per day, resulting in approximately 53% occupancy. The facility is For profit - Corporation owned and is part of the Accura Healthcare chain.
Are there other nursing homes near Accura Healthcare of Cresco?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Cresco. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Accura Healthcare of Cresco?▾
On Google Maps, Accura Healthcare of Cresco has a rating of 3.4 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Accura Healthcare

This chain operates 43 facilities. View all →